HomeMy WebLinkAbout108 Country PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
2O16 PERMIT APPLICATION
r.
Application No: S Q
Documented Construction Value: $
Ap
S f y 1 OU
Job Address: ld6 Historic District: Yes Noll
Parcel ID: 23- 19 -.30 • SOC.- 00o O - 0000 Residential ® Commercial
Type of Work: NewE AdditionD Alteca-toni Repa rE Demo Change of Use[] Move El Description
of Work: If4gw-t A,- 6JV lJrt? A4, f Plan
Review Contact Person: Title: /oo+wox- Phone:
ib7. 3Z-3- 3Sf) Fax: 2- 321 -SS79 Email: L?,q,Oe ss3277(/-';207Ai,N4f Property
Owner Information Name
RA.e Fs Aoa /<:r -7i? P A ?;fR y Phone: Street:
s//O -Ai /. %wQ Z?t`' Resident of property? City,
State Zip: />-fg—/ eU '4 33S4G - 'ZZD Contractor
Information Name
2094' is ' KKm l w Street:
City,
State Zip: Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
mo7- 37 .?-3-s"1 Fax:
VO' 2- 32f -SS,74 State
License No.: 444O.0 C2 I/- Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be
found in the public records ofthis county, and there maybe additional permits required from other governmental entities sttc'li as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The .actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued -
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature ofOwner/Agent
Print Owner/Agent's Name
Date
Suture cn'Notary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of
Signatur ctor//Agent Date
W45
Print Contractor/Agent's Name
JOANN M.JOHNSON
MY COMMISSION # FF 956284
EXPIRES: March 23, 2020
Bonded ihru Notary Public Underwriters
Contractor/Agent is personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building 0 Electrical0 Mechanical Plumbing0 Gas[] Roof[]
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: YesE] No n # of (leads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:.
UTILITIES:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes Q No Q
WASTE WATER:
BUILDING:
Revised_.June-3fF 2015 Pernut AM:tication
SCPA Parcel Mew. 33-19-30-506-0000- 0 littp://parceldetail .scpa#1 .orgfP arcelDetailh&.aspx'?P!D=33193i150600...
Propetty Record Card
CrA
Parcel: 33-19-30-506-0000-0080 i
P E : PARi<CAiARiES 1_JF28, MT+iR4'NW1_1F£ ESTRW #ATHR" l8 ATF) } Y.
f.RGMitii OC%NfY. f'L.fYlAA i Property
Address: 108 COUNTRY PL SANFORD, FL 32771-6502 Parcel
Information Value Summary Parcell3319-
30-506-0000-0080 Owner
PARKCHARLES L JR & KATHRYN W LIFE EST (PARK KATHRYN W ATE
ProperlyAddress
it l tTRY 1 SANFORD fi 32771-1SSffi Mailing 15110
ROLLING FAIRWAY DR VALRICO, FL 335965220 Subdivision Name
1 COUNTRY PLACE THE Tax District ;
SISANFORD DOR Use
Code, 01SINGLE FAMILY a Seminole
County
GIS 2016 Working
2015 Certified Values Values
Valuation Method
Cost/Market Cost/Market munberoiJ3ukgs 1
1 Depreciated Bldg Value
127,531 123,819 Depreciated EXFT Value
1,000 1,000 Land Value (Market)
34,000 28,000 Land Value Ag
Just/Market Value "
162,531 152,819 Portability Adj Save
Our -Homes
Adj 39,177 30,322 Amendment 1 Adj
P&G. Adj
0 0 Assessed Value 123,
354 122,497 Tax Amount without
SOH: $2,289.00 2015 Tax Bill
Amount $1,672.00 Tax Estonator Save
Our Homes
Savings: $617.00 TRIM Notice Help
Does NOT INCLUDE
Non Ad Valorem Assessments Legal Description COUNTRY
PLACE THE
PB 26 PG
30 Taxes Taxing Authority
Assessment
Value Exempt Values Taxable Value County General Fund
123,354 50,000 73,354 Schools 123,354.
25,000 98,354 i City Sanford
123,354 50,000 73,354 i SJWM Saint
Johns Water Management) ( 9 ) 123,35450,000 73,354 County Bonds 123,
3!A 50,OW 73,354 Sales F*d
Comparable
Sales Land Method Frontage _.. ..._.._._ _
Depth . _ _._--.. .
Units _... Units Price ..__ _ _ ;Land Value - ---- 10 2UT 0
ii t1 .10D 1 of 2 9/
9/2016 2:37 PM
2 of 2 9/9/2016 2:37 PM
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: imU16—
I hereby name and appoint:
an agent of:
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option):
0 The specific permit and application for work located at:
7
t uect /iuuCeS3)
40- The authorization for the above referenced shall expire on: %
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF Son j120je
The foregoing instrument was ,ai
200 jam, by
to me or o who has produced _
identification and who did (did
Notary Seal)
KELLY GENE CA"
MY COMMISSION 0 MUM
EXPIRES June 10, 2019
Rev. 08.12)
il
lowledged before me thisdliy of
al who is ersonally knownr1 ;
A -
Notary Public - State of
Commission No.
My Commission Expires:..,
BARNES HEATING AND AIR CONDITIONING OF SEMINOLE INC.
915 W. 2nd Street Sanford, FL 32771
Proposal OFFICE (407) 323-3517
FAX (407) 321-5579
NAME
Park, Charlie
STREET
108 Country Place
CITY
Sanford
ESTIMATE
ST ZIP
FL 32771
B 13-417-0438
JOB NAME
JOB LOCATION
Option 1 - Bryant legacy (3 ton) Heat pump models 214DNA036000/FB4CNP036L00
33000 BTU's Cool @ 14.0 SEER
33800 BTU's Heat @ 8.2 HSPF
Option 2 - Ameristar (3 ton) Heat pump models M4HP036A1 /M4AH4036A1(T)
36000 BTU's Cool @ 14.0 SEER
34600 BTU's Heat @ 8.3 HSPF
DATE
919/16
5695.00
L$5441.00
LICENSE
CAC036824
All Units above come with a 10 YR Manufacturer parts warranty & 1 YR Barnes labor warranty to original homeowner.
Price above also inciudes removal of old equipment, tie back into your existing ducts, new digital thermostat, new freon lines,
pad, labor, permit and taxes.
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR --COMPLETE IN ACCORDANCE WITH ABOVE SPECS FOR THE
SUM OF
See above
PAYMENT
Per invoice upon completion: cash, check, visa or me
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contigent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Please be aware of
Florida homeowners construction recovery fund.
Acceptance of Proposal
Signature.
The above prices, specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified. Payment will be made
Dateasoutlinedabove. -
Authorized Signature
Thomas Gochee
Note: This proposal may be
withdrawn by us if not accepted
withigeSp days.
1
AHRI Certified Reference Number: 7947636 Date: 9/9/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: M4HP4036A1
Indoor Unit Model Number: M4AH4036A1000AA+TXV
Manufacturer: INGERSOLL RAND COMPANY
Trade/Brand name: AMERISTAR
Series name:
Manufacturer responsible for the rating of this system combination is INGERSOLL RAND COMPANY
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -SourceHeatPumpEquipmentandsubjecttoverificationofratingaccuracybyAHRI-sponsored, independent, thirdpartytesting;
heating L;apacity(btun) (g 17 F: 21.200
Ratings followed by an asterisk (`) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or theunauthorizedalterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed in thedirectoryatwww.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary, products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;,
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual AM
personal and confidential reference:
AIR-CONDMONIN0, HEATING,
CERTIFICATE VERIFICATION d REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" linkandentertheAHRICertifiedReferenceNumberandthedateonwhichthecertificatewasissued, we make life better -
which Is listed above, and the Certificate No., which is listed at bottom right. --
2014 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 131179193374159005